Displaying 151971-151980 of 1611142 results.
ID:
151971
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
810002
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151972
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
809990
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151973
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
809994
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151974
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
809998
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151975
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
995156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151976
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
308963
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151977
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
317173
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151978
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
308964
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151979
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197604
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
151980
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197606
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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